Greensboro Summer Camp - Tiger Kim's Tae Kwon Do

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Camper Information
How many students are registering for camp?*
Participant Name*
First Last
Camper #1
Gender*
Date of Birth*
MM slash DD slash YYYY
Age*
Please enter a number from 5 to 12.
School:*
T-Shirt Size*
Is participant a TKD Student?*
If yes, which location?
2nd Participant Name*
First Last
Camper #2
Gender*
Date of Birth*
MM slash DD slash YYYY
Age*
Please enter a number from 5 to 12.
School:*
T-Shirt Size*
Is participant a TKD Student?*
If yes, which location?
If yes, which location?
If yes, which location?
3rd Participant Name*
First Last
Camper #3
Gender*
Date of Birth*
MM slash DD slash YYYY
Age*
Please enter a number from 5 to 12.
School:*
T-Shirt Size*
Is participant a TKD Student?*
If yes, which location?
If yes, which location?
4th Participant Name*
First Last
Camper #4
Gender*
Date of Birth*
MM slash DD slash YYYY
Age*
Please enter a number from 5 to 12.
School:*
T-Shirt Size*
Is participant a TKD Student?*
If yes, which location?

Adult Demographics
Primary Parent/Guardian*
First Last
Primary Phone*
Secondary Phone
Email*
Address*
Street Address Address Line 2 City State ZIP Code
How did you find out about our camp?*

Week Registration/Billing
Camper # 1 - What weeks will camper #1 be attending?
Camper #1*
- Select All
- Week 1: Berry Berry Extraordinary (6/13-6/17)
- Week 2: Under the Big Top (6/20-6/24)
- Week 3: Sky High (6/27-7/1)
- Week 5: Time to Wild (7/11-7/15)
- Week 6: Game On (7/18-7/22)
- Week 7: Out of this World (7/25-7/29)
- Week 8: Color Me Happy (8/1-8/5)
- Week 9: Ninja Warriors (8/8-8/12)
- Week 10: Rolling into the School Year!l (8/15-8/19)
Camper #1 (Weeks will be attending)
Camper # 2 - What weeks will camper #2 be attending?
Camper #2*
- Select All
- Week 1: Berry Berry Extraordinary (6/13-6/17)
- Week 2: Under the Big Top (6/20-6/24)
- Week 3: Sky High (6/27-7/1)
- Week 5: Time to Wild (7/11-7/15)
- Week 6: Game On (7/18-7/22)
- Week 7: Out of this World (7/25-7/29)
- Week 8: Color Me Happy (8/1-8/5)
- Week 9: Ninja Warriors (8/8-8/12)
- Week 10: Rolling into the School Year!l (8/15-8/19)
Camper #2 (Weeks will be attending)
Camper # 3 - What weeks will camper #3 be attending?
Camper #3*
- Select All
- Week 1: Berry Berry Extraordinary (6/13-6/17)
- Week 2: Under the Big Top (6/20-6/24)
- Week 3: Sky High (6/27-7/1)
- Week 5: Time to Wild (7/11-7/15)
- Week 6: Game On (7/18-7/22)
- Week 7: Out of this World (7/25-7/29)
- Week 8: Color Me Happy (8/1-8/5)
- Week 9: Ninja Warriors (8/8-8/12)
- Week 10: Rolling into the School Year!l (8/15-8/19)
Camper #3 (Weeks will be attending)
Camper # 4 - What weeks will camper #4 be attending?
Camper #4*
- Select All
- Week 1: Berry Berry Extraordinary (6/13-6/17)
- Week 2: Under the Big Top (6/20-6/24)
- Week 3: Sky High (6/27-7/1)
- Week 5: Time to Wild (7/11-7/15)
- Week 6: Game On (7/18-7/22)
- Week 7: Out of this World (7/25-7/29)
- Week 8: Color Me Happy (8/1-8/5)
- Week 9: Ninja Warriors (8/8-8/12)
- Week 10: Rolling into the School Year!l (8/15-8/19)
Camper #4 (Weeks will be attending)
Payment
Credit Card*

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Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Total
$0.00

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